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Total colpocleisis technique in huge neglected ulcerated uterovaginal prolapse

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dc.contributor.authorAYDIN, SERDAR
dc.contributor.authorGorchiyeva, Irana
dc.contributor.authorTANOĞLU, FATMA BAŞAK
dc.contributor.institutionauthorAYDIN, SERDAR
dc.contributor.institutionauthorTANOĞLU, FATMA BAŞAK
dc.date.accessioned2020-09-01T20:59:23Z
dc.date.available2020-09-01T20:59:23Z
dc.date.issued2020-06-01T00:00:00Z
dc.description.abstractIntroduction and hypothesis We present a video describing the technical considerations for performing a total colpocleisis in the management of significant, neglected, ulcerated, and symptomatic complete uterovaginal prolapse. Methods A 79-year-old debilitated woman presented with a large, ulcerated pelvic bulge. A previous attempt at pessary treatment failed because of a disproportion of the pessary with the prolapse size. She had a history of liver insufficiency and hypertension. Obliterative colpocleisis surgery was selected because the healing of a large ulcerated vagina was not likely within a short timeframe. Sharp dissection with scissors and de-epithelialisation of the remaining non-eroded vaginal mucosa with the friction of a sharp-edged surgical knife were performed. Closely located purse strings were used to obliterate potential spaces. Two mirror image triangles in the anterior and posterior vaginal walls were removed. After the formation of a new perineal body, the diamond-shaped vaginal incision was closed vertically to narrow introitus. Results The patient was discharged on the first postoperative day and an uncomplicated postoperative course ensued. At the 4-week follow-up, there was no evidence of infection, recurrent prolapse, de novo stress incontinence, or voiding with difficulty. Conclusions Total colpocleisis is an excellent surgical option in women with multiple, large cervicovaginal ulcers and multiple comorbidities with no desire for penetrative vaginal function.
dc.identifier.citationAYDIN S., Gorchiyeva I., TANOĞLU F. B. , -Total colpocleisis technique in huge neglected ulcerated uterovaginal prolapse-, INTERNATIONAL UROGYNECOLOGY JOURNAL, 2020
dc.identifier.doi10.1007/s00192-020-04288-3
dc.identifier.pubmed32556845
dc.identifier.scopus85086575757
dc.identifier.urihttp://hdl.handle.net/20.500.12645/18491
dc.identifier.wosWOS:000540957800001
dc.language.isoen
dc.titleTotal colpocleisis technique in huge neglected ulcerated uterovaginal prolapse
dc.typeArticle
dspace.entity.typePublication
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local.publication.goal16 - Barış, Adalet ve Güçlü Kurumlar
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